Carriage Square Rehab and Healthcare Center

Nursing Home & Skilled Nursing · Saint Joseph, MO

CMS overall rating

4009 Gene Field Rd, Saint Joseph, MO 64506-1864 View map

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Carriage Square Rehab and Healthcare Center accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

Carriage Square Rehab and Healthcare Center accepts Medicaid, Medicare, and private pay.

Overview of Carriage Square Rehab and Healthcare Center

Carriage Operator LLC, owner of Mo Operation Holdings DE, and administrator Jeneva Kates handle the daily management at Carriage Square Rehab and Healthcare Center, a 162-bed nursing facility on Gene Field Road in Saint Joseph, Missouri. The billing department processes accounts through standard networks, taking Medicare, Medicaid, and private funds. Family members planning a visit will find a pedestrian-friendly neighborhood scoring 76 out of 100 for walkability, making it easy to handle a few routine tasks on foot right around the property.

Files show that the facility runs at a 60 percent occupancy level, reflecting a typical intake ramp-up since opening its doors one year ago. Typically, stays average about 127 days, a timeline showing a daily layout that splits time between short-term post-hospital rehab tracks and extended residential placements. To monitor active medical treatments, the 24-hour shift framework provides an average of 3 hours and 33 minutes of total direct nursing care per resident each day.

Public enforcement data from state health officials tracks how the building matches up with regulatory safety codes during its early operational phases. State inspectors recently flagged a few specific issues that the administration needs to work on, like keeping up with medical records, following proper infection control habits, and handling daily medications correctly. These findings keep the facility’s total citation count above zero.

Families can check out the dedicated physical, occupational, and speech therapy rooms, alongside on-site dental, podiatry, optometry, and mental health counseling services. The everyday routine pairs these clinical tracks with on-site dining options, daily room maintenance, personal laundry support, and regular recreational activities.

Facility Direct Line (816) 364-1526 admissions@carriagerehab.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 33m per day

vs avg

3 of 6 metrics below state avg

Standout metric Nurse Aide is +12% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	21m per day	▼ 25% State avg: 28m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	41m per day	■ Avg State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 35m per day	▲ 12% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 3m per day	■ Avg State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	0m per day	▼ 91% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	10m per day	▼ 52% State avg: 20m per day · National avg: 28m per day

Capacity and availability

127 days

162-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 76 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

61%

Lower than the Missouri average: 66.6%

Occupied beds

98 / 162

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility, Residential Care Facility

StatusActive

IssuanceJanuary 10, 2025

ExpirationJanuary 9, 2027

CountyBuchanan

License Number051782, 052421

CMS Certification Number265336

Certification TypeMedicare / Medicaid

Carriage Square Rehab and Healthcare Center is legally operated by Carriage Operator LLC, and administered by Jeneva Kates.

Corporate EntityCARRIAGE OPERATOR LLC

Owner NameCarriage Operator LLC

Skilled Nursing Facility

130 units

Residential Care Facility

32 units

Total beds

162 units

Accept Medicaid

Accept Medicare

Rehabilitation Services

Pets not allowed

Physical Therapy

Speech Therapy

Occupational Therapy

Wound Care

Dental Care

Podiatry

Optometry

Mental Health Care

Counseling

Full Personal Laundry Services

General Day-To-Day Room Cleaning And Maintenance

Gourmet-Style Dining

Recreational Activities

Since 2018 · 8 years of data 156 deficiencies 29 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection January 27, 2026 Abbreviated Survey

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	156	35	This facility has 346% more total deficiencies than a typical Missouri assisted living residence (156 vs. MO avg 35).↑ 346% worse
Deficiencies per year Average deficiencies per year since 2018.	19.5	4.4	This facility has 343% more deficiencies per year than a typical Missouri assisted living residence (19.5 vs. MO avg 4.4).↑ 343% worse
Deficiencies per inspection Average deficiencies per inspection.	5.4	2.9	This facility has 86% more deficiencies per inspection than a typical Missouri assisted living residence (5.4 vs. MO avg 2.9).↑ 86% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	29	12	This facility has had 142% more total inspections than the Missouri average (29 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 142% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

January 27, 2026 inspection found one deficiency for delayed access to electronic medical records, staff list, and resident matrix, which delayed surveyor review for over two hours.
December 2025 inspections documented multiple infection control failures, including improper catheter care, poor hand hygiene, and reuse of soiled wipes and gloves, affecting several residents and risking urinary tract infections.
March 14, 2025 complaint investigation found delayed physician notification and antibiotic administration causing sepsis hospitalization, plus medication errors where residents received incorrect drugs, increasing risk of harm.

Show Inspection Reports

Inspections since 2021

Total health inspections 7

State average N/A

Last Health inspection on Nov 2025

Total health citations

State average N/A

Citations per inspection

7.86

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

44 of 55 citations resulted from standard inspections; 7 of 55 resulted from complaint investigations; and 4 of 55 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 5 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

1 critical citation State average: N/A

1 serious citation State average: N/A

53 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 5 years)

Quality of Care moderate citation Nov 03, 2025

Corrected

Administration moderate citation Mar 14, 2025

Corrected

Administration moderate citation Mar 14, 2025

Corrected

Administration moderate citation Mar 14, 2025

Corrected

Total staff 236

Employees 116

Contractors 120

Staff to resident ratio 2.54 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 54

Average shift 8.3 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 41,104

Nursing staff breakdown

8 hours

9.4 hours

8.5 hours

Contractor staffing

9,126 contractor hours this quarter

Certified Nursing Assistant: 60 Licensed Practical Nurse: 29 Medication Aide/Technician: 14 Registered Nurse: 7 Speech Language Pathologist: 3 Physical Therapy Aide: 2 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 2 Qualified Social Worker: 1

Staff by category


Certified Nursing Assistant	38	60	98	13,301	92	100%	8.5
Medication Aide/Technician	18	14	32	6,951	92	100%	9.3
Physical Therapist	19	0	19	6,788	92	100%	7
Licensed Practical Nurse	13	29	42	5,272	92	100%	9.4
Registered Nurse	8	7	15	1,460	90	98%	8
Other Dietary Services Staff	4	0	4	1,378	92	100%	7.6
Nurse Aide in Training	9	0	9	1,347	78	85%	9.8
Speech Language Pathologist	0	3	3	1,072	67	73%	8
Clinical Nurse Specialist	2	0	2	945	68	74%	7.9
Nurse Practitioner	1	0	1	520	65	71%	8
Physical Therapy Aide	0	2	2	485	52	57%	6.1
Administrator	2	0	2	480	60	65%	8
Mental Health Service Worker	1	0	1	480	60	65%	8
RN Director of Nursing	1	0	1	370	56	61%	6.6
Physical Therapy Assistant	0	2	2	155	34	37%	4.1
Qualified Social Worker	0	1	1	76	36	39%	2.1
Respiratory Therapy Technician	0	2	2	26	13	14%	2

98 Certified Nursing Assistant

% of Days 100%

32 Medication Aide/Technician

% of Days 100%

19 Physical Therapist

% of Days 100%

42 Licensed Practical Nurse

% of Days 100%

15 Registered Nurse

% of Days 98%

4 Other Dietary Services Staff

% of Days 100%

9 Nurse Aide in Training

% of Days 85%

3 Speech Language Pathologist

% of Days 73%

2 Clinical Nurse Specialist

% of Days 74%

1 Nurse Practitioner

% of Days 71%

2 Physical Therapy Aide

% of Days 57%

2 Administrator

% of Days 65%

1 Mental Health Service Worker

% of Days 65%

1 RN Director of Nursing

% of Days 61%

2 Physical Therapy Assistant

% of Days 37%

1 Qualified Social Worker

% of Days 39%

2 Respiratory Therapy Technician

% of Days 14%

View All Staffing Data

Total fines amount $49K

33% lower than State average

State average: $73K

Number of fines 1

59% fewer fines than State average

State average: 2.4

Payment Denials 0

100% fewer payment denials than State average

State average: 0.7

Fines amount comparison

This facility $49K

State average $73K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Mar 14, 2025 · $49K

Civil Money Penalty Mar 14, 2025

$49K

Last updated: Jan 2026

High-risk clinical events score 7.7

30% better than State average

State average: 10.9

Functional decline score 17.5

10% better than State average

State average: 19.5

Long-stay resident measures

Average State avg: 2.7

Need for Help with Daily Activities Increased 16.0%

19% better than State average

State average: 19.8%

Walking Ability Worsened 15.3%

26% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 21.0%

16% worse than State average

State average: 18.1%

Falls with Major Injury 2.3%

43% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 3.3%

33% better than State average

State average: 5.0%

Urinary Tract Infection 0.4%

87% better than State average

State average: 2.7%

Lost Too Much Weight 1.3%

77% better than State average

State average: 5.6%

Depressive Symptoms 44.4%

246% worse than State average

State average: 12.8%

Antipsychotic Use 11.5%

48% better than State average

State average: 22.0%

Pneumococcal Vaccine 90.7%

6% better than State average

State average: 85.2%

Influenza Vaccine 95.2%

5% better than State average

State average: 90.9%

Hospitalizations per 1,000 days 2.04

In line with State average

State average: 2.08

ED visits per 1,000 days 1.91

19% better than State average

State average: 2.35

Short-stay resident measures

Significantly below average State avg: 2.1

Pneumococcal Vaccine 85.8%

29% better than State average

State average: 66.6%

Antipsychotic medication increase 1.1%

51% better than State average

State average: 2.2%

Influenza Vaccine 91.7%

44% better than State average

State average: 63.5%

Re-hospitalized after SNF stay 28.7%

13% worse than State average

State average: 25.3%

Emergency department visits 18.9%

41% worse than State average

State average: 13.4%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 46.6%

13% worse than State average

State average: 53.7%

Successful return to home or community 50.8%

In line with State average

State average: 50.6%

Breakdown by payment type

Medicare

53% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

32% of new residents, often for short stays.

Typical stay 6 - 7 months

Medicaid

15% of new residents, often for long-term daily care.

Typical stay 1 years

Total residents 93

Medicare

18.3% of residents

Medicaid

58.1% of residents

Private pay or other

23.7% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Carriage Square Rehab and Healthcare Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 57.2% ↑ 3.1pp vs 2022

Net Patient Income $1.3M ↑ ~$754.2K vs 2022

Payroll Costs $4.1M ↑ ~$249.4K vs 2022

Operating Margin 14.8% ↑ 7.1pp vs 2022

Metric	2011	2012	2013	2015	2016	2017	2018	2019	2020	2022	2023
Occupancy %	72.5%	67.1%	65.0%	64.0%	63.8%	61.6%	56.7%	59.6%	57.3%	54.1%	57.2%
Beds	162	162	162	130	130	130	130	130	130	162	162
Net Income	-$12,827	-$166,171	-$181,312	$189,107	-$43,040	-$22,578	$31,948	$85,246	$204,231	$560,423	$1,322,379
Gross Revenue	$6,912,961	$6,832,571	$6,713,937	$5,807,708	$5,471,603	$5,742,006	$5,095,151	$5,459,440	$5,973,704	$7,462,185	$7,675,836
Operating Expenses	$6,615,883	$6,622,918	$6,507,835	$6,067,112	$5,977,844	$6,223,343	$5,545,041	$5,835,248	$6,763,485	$6,735,064	$7,560,678
Net Patient Income	-$100,001	-$233,017	-$248,547	-$262,876	-$506,241	-$481,337	-$449,890	-$375,808	-$789,781	$555,168	$1,309,386
Net Patient Revenue	$6,515,882	$6,389,901	$6,259,288	$5,804,236	$5,471,603	$5,742,006	$5,095,151	$5,459,440	$5,973,704	$7,290,232	$8,870,064
Payroll Costs	$3,960,114	$3,866,652	$3,794,998	$3,178,410	$3,416,175	$3,576,191	$3,113,404	$3,464,540	$4,130,322	$3,830,852	$4,080,247
Operating Margin %	-1.5%	-3.7%	-4.0%	-4.5%	-9.3%	-8.4%	-8.8%	-6.9%	-13.2%	7.6%	14.8%
Medicare %	6.2%	8.2%	8.8%	8.1%	4.9%	9.3%	6.9%	5.7%	9.7%	12.3%	15.0%
Medicaid %	40.7%	49.8%	41.7%	47.9%	49.4%	44.5%	50.9%	51.9%	55.2%	47.9%	43.9%
Private %	53.1%	42.0%	49.5%	43.9%	45.7%	46.2%	42.3%	42.4%	35.1%	39.9%	41.1%
Net Patient Revenue/Day	$152	$161	$163	$191	$180	$197	$189	$193	$219	$228	$262
Cost/Day	$154	$167	$169	$200	$197	$213	$206	$206	$248	$211	$223
Avg Length of Stay	101.1 days	69.6 days	114.7 days	313.2 days	180.8 days	115.0 days	127.6 days	134.6 days	95.1 days	82.2 days	126.9 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$8.9M

Net patient income

$1.3M

For-profit Operated by a single business entity.

Net patient revenue

$8.9M

Net patient income

$1.3M

Other income

$13.0K

Payroll costs

$4.1M 46% of net patient revenue

Other operating costs

$3.5M

Total costs

$7.6M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (53% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 53%

Private pay 32%

Medicaid 15%

Coverage residents most often leave under.

Medicare 35%

Private pay 43%

Medicaid 22%

0.0 miles from city center Estimated distance in miles from Saint Joseph's city center to Carriage Square Rehab and Healthcare Center's address, calculated via Google Maps.

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Laclede Groves	NH AL IL MC	St. Louis	-	251	-	35	-
Republic Nursing and Rehab	NH SNF	Republic	-	127	-	48	Private / Semi-Private Rooms
Chaffee Nursing Center	NH HOS SNF	Chaffee	-	71	-	25	Studio
Heisinger Bluffs	NH AL IL MC RC SNF	Jefferson City	-	111	-	32	1 Bed / 2 Bed / 3 Bed
Carriage Square Rehab and Healthcare Center	NH SNF	Saint Joseph	-	162	-	76	-

Nursing Home Explorer

Who is the owner of Carriage Square Rehab and Healthcare Center?

Carriage Square Rehab and Healthcare Center is legally operated by Carriage Operator LLC, and administered by Jeneva Kates.

Is Carriage Square Rehab and Healthcare Center in a walkable area?

Carriage Square Rehab and Healthcare Center has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Carriage Square Rehab and Healthcare Center?

According to MO state health department records, Carriage Square Rehab and Healthcare Center's license number is 051782, 052421.

When does Carriage Square Rehab and Healthcare Center's license expire?

According to MO state health department records, Carriage Square Rehab and Healthcare Center's license expires on January 9, 2027.

What is the occupancy rate at Carriage Square Rehab and Healthcare Center?

Carriage Square Rehab and Healthcare Center's occupancy is 61%.

Are pets allowed at Carriage Square Rehab and Healthcare Center?

No, Carriage Square Rehab and Healthcare Center has a no-pet policy.

Does Carriage Square Rehab and Healthcare Center operate as a for-profit or non-profit?

Carriage Square Rehab and Healthcare Center is registered as a for-profit in MO.

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Carriage Square Rehab and Healthcare Center

Overview of Carriage Square Rehab and Healthcare Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Payment & Insurance

Therapy & Rehabilitation

Additional Policies & Features

Amenities & Lifestyle

Contact Carriage Square Rehab and Healthcare Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2021

Breakdown of citation severity (last 5 years)

Citations history (last 5 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

98 Certified Nursing Assistant

32 Medication Aide/Technician

19 Physical Therapist

42 Licensed Practical Nurse

15 Registered Nurse

4 Other Dietary Services Staff

9 Nurse Aide in Training

3 Speech Language Pathologist

2 Clinical Nurse Specialist

1 Nurse Practitioner

2 Physical Therapy Aide

2 Administrator

1 Mental Health Service Worker

1 RN Director of Nursing

2 Physical Therapy Assistant

1 Qualified Social Worker

2 Respiratory Therapy Technician

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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